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Personal Recommendation Form
Name of applicant:
First Name of Applicant:
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Last Name of Applicant:
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Section
In what capacity do you know the applicant?
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How long have you known the applicant?
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Please share with us your thoughts regarding this student. Comment specifically on her strengths and weaknesses and her ability to work with her peers and adults. What is your impression of her self-concept and her outlook on life?
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Are there outside factors (i.e., family, physical needs, etc.) that we should know about this student? Please explain.
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Please evaluate the candidate in relation to other young people with whom you have worked by checking the appropriate spaces below:
Maturity
Truly Outstanding
Excellent
Good
Average
Below Average
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Dependability/Responsibility
Truly Outstanding
Excellent
Good
Average
Below Average
*
Initiative
Truly Outstanding
Excellent
Good
Average
Below Average
*
Character/Integrity
Truly Outstanding
Excellent
Good
Average
Below Average
*
Leadership
Truly Outstanding
Excellent
Good
Average
Below Average
*
Energy
Truly Outstanding
Excellent
Good
Average
Below Average
*
Emotional Stability
Truly Outstanding
Excellent
Good
Average
Below Average
*
Reaction to Setbacks
Truly Outstanding
Excellent
Good
Average
Below Average
*
Concern for Others
Truly Outstanding
Excellent
Good
Average
Below Average
*
Warmth of Personality
Truly Outstanding
Excellent
Good
Average
Below Average
*
Sense of Humor
Truly Outstanding
Excellent
Good
Average
Below Average
*
Overall Evaluation
Truly Outstanding
Excellent
Good
Average
Below Average
*
Thank you for your assistance. Please be assured that your comments will be given full consideration and will be treated confidentially.
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Signature:
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Date (mm/dd/yyyy)
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Email Address:
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Telephone:
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